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See a sample rate comparisonCPT 22207 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Osteotomy Of Spine Posterior, Osteotomy Of Spine Posterior Or Posterolateral Approach Three Columns One Vertebral Segment (E.G. Pediclevertebral Body Subtraction) Lumbar
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 22207 |
| Medicaid Fee Schedule | View Medicaid rates for 22207 |
National average reimbursement for CPT 22207 by major payers:
$3,141.67
$3,209.74
$3,424.53
$3,863.26
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CPT 22207
5 of 25 sample ratesHigher to lower in this preview
Columbia Medical Center Of Plano Subsidiary Lp, Medical City Plano
$14,864.00Published rateBsc Biltmore LLC
$5,963.00Published rateCenter For Robotic Surgery Of Louisiana LLC
$3,870.00Published rateCastle Hills Surgicare, LLC
Castle Hills Surgicare LLC
$1,793.00Published rateDigestive Healthcare Of Georgia Endoscopy Center
$500.00Published rate
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See a sample payer proposalCPT 22207 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 22207 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 22207 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 22206-CPT | High | Osteotomy Of Spine Posterior, Osteotomy Of Spine Posterior Or Posterolateral Approach Three Columns One Vertebral Segment (E.G. Pediclevertebral Body Subtraction) Thoracic |
| 22207-CPT | High | Osteotomy Of Spine Posterior, Osteotomy Of Spine Posterior Or Posterolateral Approach Three Columns One Vertebral Segment (E.G. Pediclevertebral Body Subtraction) Lumbar |
| 22208-CPT | Moderate | Incis Spine 3 Column Adl Seg, Osteotomy Of Spine Posterior Or Posterolateral Approach 3 Columns 1 Vertebral Segment Eg Pedicle Vertebral Body Subtraction Each Additional Vertebral Segment List Separately In Addition To Code For Primary Procedure |
| 22212-CPT | High | Incis 1 Vertebral Seg Thorac, Incision Of Spinal Column (Single Column Osteotomy) In 1 Vertebral Segment Of Upper Back (Thoracic Spine) To Correct Deformity |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 22207. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 22207 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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